24-1459 - P034-Customer Service Representative
Apr 7, 2024
Personal Information
Personal Information
Legal First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Michelle Rose
Legal Middle Name .
..................................................... Molina
If no Middle Name, type NA
Legal Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lopez
Email Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . mikamolinalopez@gmail.com
Date of Birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02/19/1996
Primary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0905 662 9878
Secondary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09603415249
Residence
Current Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 ROTC HUNTERS TATALON QUEZON CITY
Permanent Address . Tatalon
.....................................................
In which city do you reside? 1113
Province . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zip Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1113
General Information
Select your preferred site: PHI-SM Fairview
Do you have any pending applications with other companies? No
What is your expected salary? 23,000
What languages do you speak fluently?
English
Ctrl+click to make multiple selections
Are you amenable to shifting schedules? . Yes
.....................................................
Are you amenable working during holidays and weekends? Yes
Are you amenable to working overtime, including Rest day OTs? Yes
Have you ever been convicted of fraud, felony or any crime from your current
No
or previous employers?
Do you have any medical condition which might affect your work?
(Declaration herein signifies your consent in releasing this sensitive personal
information to Afni and for the perusal of its client(s) in consideration of your No
employment herein. Misdeclaration of such sensitive information in reference
to the outcome of your medical results will be valid grounds to consider in
deliberating your employment with Afni)
Employment History
To add additional employers, click the "Add Employer" button below.
The "Remove Last Employer" will delete all entries for the last employer that you have entered.
Please enter your most recent employer first.
* = Conditionally Required
Employment History
Previous Employer 1
Employer Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous
 
Name of Employer * Foundever
Start Date* 09/04/2023
End Date * 02/19/2024
Position/ Title * Chat Support/ Customer Service Representative
Account Handled Social Media Account/ TikTok Campaign
Monthly Basic Salary * PHP ₱21,000.00
Monthly Allowance: PHP ₱100.00
Previous Employer 2
Employer Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous
 
Name of Employer * Teleperformance Philippines
Start Date* 05/24/2022
End Date * 09/19/2023
Position/ Title * Customer Service Representative
Account Handled Financial Account
Monthly Basic Salary * PHP ₱16,000.00
Monthly Allowance: PHP ₱100.00
Previous Employer 3
Employer Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous
 
Name of Employer * Star Paper Corporation
Start Date * 02/03/2017
End Date * 05/10/2017
Position/ Title * Barcoder / Production Staff
Account Handled NA
Monthly Basic Salary * PHP ₱8,000.00
Monthly Allowance: PHP ₱100.00
Education History
Education
What is the highest level of education you have completed? HS Graduate or Equivalent
What is the name of the school where you completed your highest level of
Manuel A. Roxas High School
education?
What courses did you take at the above mentioned school? NA
What dates did you attend the above mentioned school?
Date Attended From . 06/07/2008
.....................................................
Date Attended To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03/14/2012
Emergency Contact
Emergency Contact 1
Person to notify in case of emergency
Name (First and Last) . Zeus Santos
.....................................................
Emergency Contact Phone Number . 09289238542
.....................................................
Relation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Spouse
eSignature
Electronic Signature
ELECTRONIC SIGNATURE NOTICE AND CONSENT
This notice is intended to provide you with important information required by the Electronic Signatures in Global and National Commerce Act (E‐Sign Act).
Consent: By entering your name, you consent to submit your employment application and all related forms, documents and information electronically. You further consent to conduct any
matters related to the recruiting, application, background check and/or onboarding process electronically. Typing your name in the textbox under or on a form, entering your login password,
and clicking on "Submit", will constitute your electronic signature.
Right to Withdraw Your Consent: You have the right to withdraw your consent to receive disclosures and submit information electronically. If you choose to withdraw your consent, the
application process will be terminated. You may withdraw your consent by contacting the Company, and typing in "Withdraw" in the textboxes for the Certification and Background Disclosure
pages.
Technical Requirements: To use this online process and to access and retain electronic records, you will need Microsoft Internet Explorer 7.0 or 8. You must also have access to a printer and/or
the ability to download information in order to keep copies of the electronic agreements and disclosures for your records.
Paper Copies of Electronic Records: If you wish to obtain a free copy of your electronic application and disclosure forms, you may click on the "print" link on the manage your application page.
Updating contact information: It is your responsibility to update the Company regarding any changes to your e‐mail address or other contact information.
Applicant Statement
I hereby certify that all of the foregoing statements are true and complete. I agree to assume a continuing responsibility to disclose additional or new information, called for this Employment
Application, but known to me only after this Application was completed, and understand that my failure to make such disclosure, and that false, incomplete or misleading information given on
this Application, on any employment form, or in any interview, are grounds for terminating the employment process or, if discovered after employment, terminating employment.
I expressly agree to reimburse PHI-Philippines for attorney fees, costs and expenses incurred in its successfully defending all or part of any state or federal court lawsuit that I may file against
PHI-Philippines and/or any individual in their capacity as an agent of PHI-Philippines, arising out of or in connection with this Application, the hiring process and/or any employment that I
accept at PHI-Philippines. I also agree, as does PHI-Philippines, to waive all rights to a trial by jury on any claim one may assert against the other in a court of law. Additionally, I agree that any
claim that I may assert against PHI-Philippines in a court of law shall be brought only in my individual capacity and not as a plaintiff or class member in a class or representative proceeding.
I understand that if I am employed, my employment will not be for a definite duration and can be terminated at any time by either PHI-Philippines or myself. I further understand that none of
PHI-Philippines's personnel policies should be construed as a contract or as a guarantee of continued employment. No representative of PHI-Philippines or its subsidiaries or affiliates, other
than PHI-Philippines's President, has authority to enter into or approve any agreement for employment for any specific period of time or to approve any agreement contrary to the foregoing.
Additionally, I understand that the invalidity or unenforceability of any particular provision of this Applicant Statement will not affect the Applicant Statement's other provisions, which are then
to be applied as if the invalid or unenforceable provision were omitted.
Please type your full legal name as you listed it on this application Michelle Rose Lopez.
Michelle Rose Molina Lopez
ELECTRONIC SIGNATURE: Accepted
I testify that this statement is true to the best of my knowledge.
